MyChart - Sign Up

Please supply your information as requested below. It could take up to a week for processing and verification. You will receive an email or letter with your code and activation instructions.

You may NOT request an activation code for your child, spouse or other adult. If you want to request access to Eskenazi Health MyChart for your child or another adult, contact your provider's office and ask about proxy access.

Note: You must enter either your Last Four Digits of SSN or Medical Record Number in order to request an activation code.

Indicates a required field

Follow these steps to sign up for a MyChart account.

Enter your personal information.
Verify your contact information.
Choose a username and password.

If you have any questions, please contact us at 317.880.CARE(2273).

Follow these steps to sign up for a MyChart account.

Enter your personal information.
Verify your identity.
Choose a username and password.

If you have any questions, please contact us at 317.880.CARE(2273).

Follow these steps to sign up for a MyChart account.

Enter your personal information.
Verify your identity.
Choose a username and password.

If you have any questions, please contact us at 317.880.CARE(2273).

First name

Middle name

Last name

Date of birth

Legal sex

Female Male Unknown

Last four digits of SSN

Medical record number

Email address

Verify email address

Sign Up

Name

Address

Other Information

Sign Up

Patient Information

Name

Address

Other Information